JORDAN JOSIA BOTHWELL
NPI 1154178572
Behavior Technician in Fairfield, CA

NPI Status: Active since May 02, 2024

Contact Information

490 CHADBOURNE RD STE A131
FAIRFIELD, CA
ZIP 94534
Phone: (844) 636-3987
Fax: (707) 402-6059

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  • Individual
  • Male
  • Behavior Technician

About JORDAN BOTHWELL

This page provides the complete NPI Profile along with additional information for Jordan Bothwell, a provider established in Fairfield, California with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1154178572 assigned on May 2024. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1154178572
Provider Name
JORDAN JOSIA BOTHWELL
Gender
Male
Entity Type
Individual
Location Address
490 CHADBOURNE RD STE A131 FAIRFIELD, CA 94534
Location Phone
(844) 636-3987
Location Fax
(707) 402-6059
Mailing Address
490 CHADBOURNE RD STE A131 FAIRFIELD, CA 94534
Mailing Phone
(844) 636-3987
Mailing Fax
(707) 402-6059
Is Sole Proprietor?
Yes
Enumeration Date
05-02-2024
Last Update Date
05-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154178572
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211042716514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 2 + 7 + 1 + 6 + 5 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1154178572 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831752781NEXUS THERAPIES LLC
Organization
Early Intervention Provider Agency490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1083289441 OSCAR CASTRO
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1023770955 KAITLYN WALTERS
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1124785035MRS. MARIFEL C DELCO
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1184175010 SONIA CEJA
Individual
Behavior Analyst490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1447917679 CRISTIAN MEJIA PSYCHOLOGY, B.A.
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1194468983 GRACIE L KINCAID
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1578200796 SOFIA PENATE
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1629705819 MYA AUNGELIQUE FOSTER
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1003539701 DANIELA LOPEZ
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1093438780 ALYCEA ROBLES
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(707) 419-6006
1336852847 DOMINIQUE TUCKER
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1164121877 NATHAN RYAN DICKERSON
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1407542202 VICTOR CEJA
Individual
Case Manager/Care Coordinator490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1780378034 ODALIS GARCIA GUTIERREZ
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(884) 636-3987
1124883897 ZAIRY GUZMAN PARRA
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1154174258 CARISSA CANLAS
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1487475943 ALEXANDRIA MARIE SMITH
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987
1912723578 KATELYNN HERNANDEZ
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(707) 341-9949
1134939598 NORA LUNA
Individual
Behavior Technician490 CHADBOURNE RD STE A131
FAIRFIELD, CA 94534
(844) 636-3987

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154178572, enumerated in the NPI registry as an "individual" on May 02, 2024

The provider is located at 490 Chadbourne Rd Ste A131 Fairfield, Ca 94534 and the phone number is (844) 636-3987

The provider's speciality is Behavior Technician with taxonomy code 106S00000X

This NPI record was last updated on May 02, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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